NPIMap

Organization Active NPI

Miracare Neuro Behavioral Health, PC

Doing business as Palos Behavioral Health Professionals

  • Psychologist
  • Palos Heights, IL
National Provider Identifier
1649329251
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MIRACARE NEURO BEHAVIORAL HEALTH, PC
Doing business as
Palos Behavioral Health Professionals
Practice address
11800 S 75TH Ave
3Rd Floor
Palos Heights, IL 60463-1033
Phone
(708) 671-8440
Fax
(708) 671-8446
NPI assigned
Jan 10, 2007
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher James Higgins, PSY DNPI 1437269289
Title
President
Phone
(708) 448-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychologist 103T00000X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

11800 S 75TH Ave
3Rd Floor
Palos Heights, IL 60463-1033

Mailing address

11800 S 75TH Ave
3Rd Floor
Palos Heights, IL 60463-1033
Phone (708) 448-3300

Other identifiers 2

IdentifierTypeStateIssuer
01623882OtherILBC BS
997310OtherILMD MEDICARE

Other names 1

  • Palos Behavioral Health Professionals Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000373 IL Part B Supplier - Clinic/Group Practice 7416930250 Receives reassigned benefits from 4 practitioners
Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Locations

9730 S Western Ave
Ste 741
Evergreen Park, IL 60805
Phone (708) 346-6105

11800 S 75th Ave
Fl 3
Palos Heights, IL 60463
Phone (708) 448-3300

11800 S 75th Ave
Ste 300
Palos Heights, IL 60463
Phone (708) 671-8440

7808 W College Dr
Ste 3W
Palos Heights, IL 60463
Phone (219) 301-1090

13011 S 104th Ave
Ste 200
Palos Park, IL 60464
Phone (708) 448-3300

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1649329251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 S 75TH AVE",
            "address_2": "3RD FLOOR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631033",
            "telephone_number": "708-448-3300",
            "fax_number": "708-448-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 S 75TH AVE",
            "address_2": "3RD FLOOR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631033",
            "telephone_number": "708-671-8440",
            "fax_number": "708-671-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACARE NEURO BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-448-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "01623882",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD MEDICARE",
            "identifier": "997310",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palos Behavioral Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palos Behavioral Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.